Provider Demographics
NPI:1083405435
Name:VECCHIONE, MARLYNE (LMSW)
Entity type:Individual
Prefix:
First Name:MARLYNE
Middle Name:
Last Name:VECCHIONE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 CLUBHOUSE DR
Mailing Address - Street 2:
Mailing Address - City:ROCKY POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11778-9585
Mailing Address - Country:US
Mailing Address - Phone:631-603-7229
Mailing Address - Fax:
Practice Address - Street 1:40 CLUBHOUSE DR
Practice Address - Street 2:
Practice Address - City:ROCKY POINT
Practice Address - State:NY
Practice Address - Zip Code:11778-9585
Practice Address - Country:US
Practice Address - Phone:631-603-7229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0977441041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool